Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting

Autor: A. C. Gimovsky, C. J. Macri, S. L. Bathgate, D. E. Ross
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Case Reports in Obstetrics and Gynecology, Vol 2012 (2012)
Druh dokumentu: article
ISSN: 2090-6684
2090-6692
DOI: 10.1155/2012/638471
Popis: Moyamoya disease (MD) is a chronic, progressive cerebrovascular disease distinguished by bilateral stenosis or occlusion of the arteries around the circle of Willis with resulting prominent arterial collateral circulation. We describe a pregnant woman in whom this diagnosis was confirmed by cerebral angiogram and treated with bilateral superficial temporal artery-middle cerebral artery (STA-MCA) bypass grafting prior to conception. The patient was managed with strict blood pressure monitoring and low-dose aspirin antepartum, intrapartum, and postpartum. The patient presented in spontaneous labor at term and underwent a spontaneous vaginal delivery without complications.
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